accurate detailed answers || ||
What types of equipment is used for PFT - ✔✔- spirometers (Volume and Flow)
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- peak flow meter (PEFR) (Flow)
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- MIP/NIF
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- MEP
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Spirometers are used to measure: - ✔✔volumes and flow rates
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Peak flow meters are used to measure: - ✔✔peak expiratory flow rate (PEFR) at the bedside
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How do you measure PEFR? - ✔✔patient exhales forcefully through a device which
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incorporates a resistor and a moveable indicator || || || || || ||
- fully dependent on patient effort
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- moisture and debris can affect accuracy
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How to determine personal best peak flow number? - ✔✔the single highest measurement
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recorded during this time frame is the personal best
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Typical peak flow value for a healthy adult? - ✔✔10 L/sec or 600 L/min
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How do you calibrate a 3.0 L syringe? - ✔✔syringe should be calibrated daily
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accuracy within pos. or neg. 3.5% (2.895 L - 3.105 L)
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, MIP/MEP (pressure manometer) device is used for: - ✔✔measurement of maximum
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pressures. more accurate than vital capacity measurements in pts with neuromuscular
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disease
how is MIP measured? - ✔✔with a pressure manometer; described in negative numbers
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- used to monitor and assess the readiness to wean in ventilatory patients.
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- also assessed the degree of respiratory muscle impairment in pt with GB and MG
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What MIP measurement indicates weak muscles? - ✔✔MIP < 20 cmH2O
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how is MEP measured? - ✔✔with a pressure manometer; described in positive numbers
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- helpful in evaluating a patients ability to maintain an airway or clear secreting (ability to
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cough)
Spirometry values || ||
a. VT ||
b. IRV ||
c. ERV||
d. RV ||
e. IC ||
f. VC||
g. FRC ||
h. TLC - ✔✔a. 0.5 L
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b. 2.5 L || ||